Summary:
The unusual localization of juvenile angiofibroma of the sixteen-years old boy is discussed in
this work. The patient’s problems – hindered breathing through the right nasal cavity and recurrent bleeding
from the nose – were the reasons of this recurrent examination at ENT ambulance. Polyp in the right nasal
cavity was diagnosed by the rhinoscopic examination and was indicated for the extirpation in the local anaesthesia.
The operation itself was made without bleeding complication. Postoperative bleeding was minimal,
without needing of the firm nasal tamponade. Juvenile angiofibroma was stated by the histological analysis.
In the period of three weeks after the first operation the relapse of the bleeding from the right nasal cavity
appeared. Six weeks after the operation a polyp was authenticated in the right nasal cavity with the bleeding
mucos, outgrowing from the front edge of the middle nasal conch. There were completed CT and angiographic
examination and them extirpation of the polyp with partial resection of middle nasal conch was indicated
– by the endonasal microsurgery. The histological analysis confirmed juvenile angiofibroma. Since the
second operation the patient has been under dispensarization for five years now, and there have been found
neither relapse of angiofibroma nor the episodes of epistaxis .
Key words:
juvenile angiofibroma, unusual localization of juvenile angiofibroma,
epistaxis .
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